Provider Demographics
NPI:1093988818
Name:AYYAR, SUNITHA RAO (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNITHA
Middle Name:RAO
Last Name:AYYAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SUNITHA
Other - Middle Name:GADAHAD
Other - Last Name:RAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3125 LAKEVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048
Mailing Address - Country:US
Mailing Address - Phone:913-651-5597
Mailing Address - Fax:
Practice Address - Street 1:3125 LAKEVIEW CIR
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048
Practice Address - Country:US
Practice Address - Phone:913-682-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-12
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0435746207R00000X
KS04-35746207R00000X
AZR72327207R00000X
TXQ6362207R00000X
FLME143813207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine